Mayedel a San Jose PC

NPI #1083305510 in Santa Teresa, New Mexico

Provider Information

NPI Number
1083305510
Entity Type
Organization
Organization Name
Mayedel a San Jose PC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
May 16, 2023
Last Updated
Sep 25, 2025

Practice Location

Address
1245 COUNTRY CLUB RD STE 200
ZIP Code
88008-9743
Phone
(575) 332-4633

Authorized Official

Name
DR. MAYEDEL SAN JOSE, DNP, APRN, FNP-C
Title
OWNER
Phone
(575) 332-4633

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service
Nurse Practitioner - FamilyFamily

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